目的 探讨磁共振胰胆管成像(MRCP)联合CA19-9对外科梗阻性黄疸的诊断价值。方法 回顾性分析经手术及病理证实的梗阻性黄疸患者资料94例,全部病例均行siemens 3T MRCP检查及CA19-9检测。结果 CA19-9、MRCP、CA19-9和MRCP联合检测对于恶性梗阻性黄疸的诊断敏感性分别为76.3%、83.8%、94.7%,对于良性梗阻性黄疸的诊断敏感性分别为30.4%、91.1%、92.9%。结论 MRCP和血清CA19-9检测诊断梗阻性黄疸各有优势和不足,二者联合可以很好地提高诊断的正确率,MRCP和CA19-9互补,可作为梗阻性黄疸的病因诊断较为有价值的可靠方法。
Objective To evaluate the value of MRCP combined with CA19-9 in diagnosis of surgical obstructive jaundice.Methods The clinical data of 94 patients with surgical obstructive jaundice were analyzed.Results The correct diagnostic rates of each patient in finding causes of obstructive jaundice,CA19-9 were 76.3% and 30.4%,MRCP 83.8% and 91.1%,CA19-9 combined with MRCP were 94.7% and 82.9%.Conclusion MRCP and CA19-9 have their own advantages and disadvantages in diagnosing surgical obstructive jaundice.The combination can significant raise the accuracy of diagnosis.As complementary to each other,MRCP and CA19-9 together can provide reliable etiologic diagnosis for suspicious obstructive jaundice.
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